5505 EVERGREEN WAY CALIBER COLLISION 2024-06-12

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 3 22-( I °50 BUILDING PLANNING Intake OK by: Date: Intake OK byf , Assign To: Date:7_///22___ Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone Number of Stories Overlay/Agreement Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use [}i- lkr Type of Construction Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ - Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 dots required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total $ 'Oj "' � tl'% Approved By: .P t`�iii"IYit�!'>iy Date: $ 0412o2v PUBLIC WORKS Intake OK by: . Date: Additional Notes: Fec.(oE 7 R._cr Intake Comments: £PW Worksheet Needed if: fl-Sig. iliC>./1, IOSys Dev Eval ❑Traffic Mit Eval IDSite Work or Drainage Proposed Approved By: Date: Of( 4 .� IDBackflow Prevention for high hazard: _(dental,medical,animals,mortuary,hospital, SS j `T .20R2 isupportive housing) _w......_.,,.,,o., ,.,,.,.,.,.,.,,W.,.,.,W.,,, FIRE DEPARTMENT F ❑Route this folder for PW Review at end ---PW Review Worksheet Separate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ['Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ❑This Permit is Approved by Public Works 0 See PW Review Worksheet and associated attached items Fire Dept.Fees: ❑A Separate PW Permit is Required (Permit#: PW ) ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) 'Review/Inspection Scope-ADD FIRE FEE ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Cg1-UGflf7 Date: 4 Public Works has no scope---PW Not Required ,,,Zi q'1—.2 Additional Notes: ELECTRICAL Additional Notes: '4{j1 7 /S,e✓ l 7P 0/- ZS^202 2 Approved By: Date: Approved By: Date: 4